| National Provider Identifier [NPI]: | 1508854233 |
| Last Name Of The Provider | GEORGIS |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5454 HOHMAN AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | HAMMOND |
| Zip Code Of The Provider | 463201931 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 213 |
| Number Of Services | 8046 |
| Number Of Medicare Beneficiaries | 5263 |
| Total Submitted Charge Amount | 1712727 |
| Total Medicare Allowed Amount | 238391.7 |
| Total Medicare Payment Amount | 181986.77 |
| Total Medicare Standardized Payment Amount | 189741.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 213 |
| Number Of Medical Services | 8046 |
| Number Of Medicare Beneficiaries With Medical Services | 5263 |
| Total Medical Submitted Charge Amount | 1712727 |
| Total Medical Medicare Allowed Amount | 238391.7 |
| Total Medical Medicare Payment Amount | 181986.77 |
| Total Medical Medicare Standardized Payment Amount | 189741.91 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 880 |
| Number Of Beneficiaries Age 65 to 74 | 1840 |
| Number Of Beneficiaries Age 75 to 84 | 1606 |
| Number Of Beneficiaries Age Greater 84 | 937 |
| Number Of Female Beneficiaries | 3075 |
| Number Of Male Beneficiaries | 2188 |
| Number Of Non Hispanic White Beneficiaries | 3953 |
| Number Of Black or African American Beneficiaries | 904 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 341 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3935 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1328 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.8904 |